Explanatory models of coronary heart disease among South Asian immigrants.

Explanatory models of coronary heart disease among South Asian immigrants.
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南亚移民冠心病的解释模型。

DOI:
10.1016/j.pec.2010.10.002
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发表时间:
2011
影响因子:
3.5
通讯作者:
Kandula,NamrathaReddy
Kandula,NamrathaReddy
中科院分区:
医学2区
文献类型:
--
作者:
Tirodkar,ManasiAshok;Baker,DavidWilliam;Khurana,Neerja;Makoul,Gregory;Paracha,MuhammadWasim;Kandula,NamrathaReddy

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目的本研究调查了南亚人的 CHD 解释模型 (EM),并将其与生物医学模型进行比较,作为努力为制定有针对性的文化针对性 CHD 预防信息提供信息的一部分。方法我们用英语、印地语和乌尔都语对来自联邦合格健康中心和芝加哥南亚移民社区中心的 75 名受访者进行了深入的半结构化访谈, 伊利诺伊州结果虽然 CHD 的 EM 包括生物医学模型中的风险因素,但它们也包括社会心理和精神风险因素。受访者强调压力会导致冠心病,并认为冠心病是由突发或无法解释的因素引起的。很少有受访者将胆固醇、血压或糖尿病视为冠心病预防的一部分。女性和受教育程度较低的人对罹患冠心病的风险认知度较低。结论南亚人的冠心病 EM 包含生物医学模型;然而,EMs还包括心理社会和精神因素。实践意义临床医生和健康教育者应该意识到,南亚人的CHD EM可能包括心理社会和精神因素,这些因素可能会影响CHD预防行为。
OBJECTIVEThis study investigated South Asians’ explanatory models (EM) of CHD and compared them to the biomedical model as part of an effort to inform the development of culturally targeted CHD prevention messages.METHODSWe conducted in-depth, semi-structured interviews in English, Hindi and Urdu with 75 respondents from a federally qualified health center and at a community center for South Asian immigrants in Chicago, Illinois.RESULTSWhile EMs of CHD included risk factors from the biomedical model, they also included psychosocial and spiritual risk factors. Respondents emphasized that stress causes CHD and suggested that CHD was caused by sudden or inexplicable factors. Few respondents discussed cholesterol, blood pressure, or diabetes as part of CHD prevention. Women and those with lower education had low perceptions of being at-risk for CHD.CONCLUSIONSouth Asians’ EMs of CHD encompassed the biomedical model; however, EMs also included psychosocial and spiritual factors.Practice implicationsClinicians and health educators should be aware that South Asian individual's EM of CHD may include psychosocial and spiritual factors which can affect CHD prevention behaviors.
DOI: 10.1093/pubmed/24.2.95
发表时间: 2002-06-01
期刊: JOURNAL OF PUBLIC HEALTH MEDICINE
影响因子: --
作者:
Bhopal, R;Hayes, L;Alberti, G
通讯作者: Alberti, G
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DOI: 10.1023/a:1025128615666
发表时间: 1997
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通讯作者: Maxine Forrest
DOI: --
发表时间: 1996-07
影响因子: 1.5
作者:
E. Enas;A. Garg;Michael A. Davidson;V. Nair;B. Huet;S. Yusuf
通讯作者: E. Enas;A. Garg;Michael A. Davidson;V. Nair;B. Huet;S. Yusuf
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DOI: --
发表时间: 2005
影响因子: 1.9
作者:
A. Milat;T. Carroll;Jennifer J Taylor
通讯作者: Jennifer J Taylor
DOI: --
发表时间: 2004
影响因子: 3.2
作者:
P. Kalra;S. Srinivasan;S. Ivey;K. Greenlund
通讯作者: K. Greenlund